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General NPI Number Information
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NPI Number | 1407818313
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Entity Type | Individual
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Provider Name | MARIAN BARRAUD STEWART MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 501 CHURCH ST
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City | CENTURY
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State | FL
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Zip | 32535-2914
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Country | US
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Telephone | 850-724-4054
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Fax | 850-724-4170
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Provider Business Mailing Address
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Address Line | 2315 W JACKSON ST
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City | PENSACOLA
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State | FL
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Zip | 32505-7552
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Country | US
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Telephone | 850-724-4054
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Fax | 850-724-4170
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME68044
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License Number State | FL
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